Rate Setting Financial Analyst

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Department ofHealth and Human Services (DHHS)

Public Service Coordinator I

Opening Date:December 23 2025

Closing Date:January 16 2026

Job Class Code:CA28

Grade:28 (Confidential)

Salary:$66206.40 - $94057.60 per year

Position Number:02031-2546

Location:Augusta

Job Description:

As a Rate Setting Financial Analyst you will:

Research and analyze cost and financial data from various sources and determine appropriate rates and cost charges for services.

Produce updated fee schedules on an annual basis or on an ad hoc basis as rates are updated.

Create fiscal impact analysis of potential annual rate changes provider rate requests and Legislative bills for changes in MaineCare Reimbursement.

Create rate letters when a reimbursement methodology indicates that provider-specific rates are appropriate.

Be responsible for providing DHHS administration with analysis of reimbursement rates associated with MaineCare and other Department programs.

Work with program staff from OMS Policy Provider Relations Care Coordination Delivery System Reform and other OMS units and also from other DHHS Offices to develop and implement rate-setting methodologies and assumptions used to develop and authorize payments to providers for services delivered to MaineCare members.

Be responsible for determining financial impact to the Department regarding proposed changes in reimbursement methods and/or levels.

Supervise and cross-train other Rate Setting staff.

Participate in the review and development of rate models and Alternative Payment Methodologies.

Act as the Departments subject matter expert on rate models and rate model elements as part of the Rate Reform process.

Cover meetings when the Manager of Rate Setting is unavailable acting as a subject matter expert.

Minimum Qualifications:

To qualify you must have an eight (8) year combination of education and/or experience comprised of a Masters Degree in Business Administration Non-Profit Administration Finance or a closely related field and two (2) years of experience in cost budget and financial analysis. Directly related professional experience may be substituted for education on a year-for-year basis.

Preferred experience includes:

Experience with and knowledge of the Medicaid program and/or other health and human services programs serving low-income populations.

Lived experience with Medicaid and/or other health-related social needs common to individuals and families receiving Medicaid coverage.

The background of well-qualified candidates will demonstrate the following competencies:

1.A thorough knowledge of the Governmental Accounting Standards Boards Generally Accepted Accounting Principles (GASB/GAAP) evidenced through formal education and practical experience at the professional level.

established record of managing complex fiscal issues with successful outcomes.

to successfully partner with financial and program staff to achieve common goals.

to research law regulations and Medicaid policies to provide sound advice and recommendations to executive managers.

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Agency information:

The Department of Health and Human Services (DHHS) is dedicated to promoting health safety resilience and opportunity for Maine people. The Department provides health and social services to approximately a third of the States population including children families older Mainers and individuals with disabilities mental illness and substance use disorders. The Department also promotes public health operates two state psychiatric hospitals and provides oversight to health care providers.

The Office of MaineCare Services (OMS) within DHHS administers the states Medicaid program which provides free or low-cost health insurance coverage for low-income Mainers so they can access the health care services they need to work care for family go to school and participate in the community. OMS works collaboratively with other State agencies the Legislature the Office of the Governor MaineCare members health care providers and other health care purchasers on statewide healthcare improvement initiatives. OMS is committed to advancing health equity efforts to improve access to care and positive health outcomes for all low-income Mainers. OMS provides benefit coverage and support services in alignment with Department goals federal requirements and State statutes. OMS also provides oversight necessary to ensure accountability and efficient and effective administration of the states Medicaid program.

The Rate Setting unit is located within the OMS Data Analytics team. Rate Setting oversees the implementation and operations of MaineCares rate system and other key DHHS reimbursement initiatives. Rate Setting objectives are to streamline rationalize and improve MaineCares reimbursement system to ensure rates are equitable and adequate to provide all MaineCare members with access to needed high value healthcare services.

Application Information:

For additional information about this position please contact Dwayne Parsons at .

Please provide a Cover Letter Resume and References with your application.

Please submit all documents or files in PDF or Word format.

To request a paper application please contact

Benefits of working for the State of Maine:

No matter where you work across Maine state government you find employees who embody our state mottoDirigo or I leadas they provide essential services to Mainers every day. We believe in supporting our workforces health and wellbeing with a valuable total compensation package including:

• Work-Life Fit Rest is essential. Take time for yourself using13 paid holidays 12 days of sick leave and3 weeks of vacation leaveannually. Vacation leave accrual increases with years of service and overtime-exempt employees receive personal leave.
• Health Insurance Coverage The State of Maine pays85%-100%of employee-only premiums ($12845.82 - $15112.76 annual value) depending on salary. Use this chart to find thepremium costsfor you and your family including the percentage of dependent coverage paid by the State.
• Health Insurance Premium Credit Participation decreases employee-only premiums by 5%. Visit the Office of Employee Health and Wellness for more information aboutprogram requirements.
• Dental Insurance The State of Maine pays 100% of employee-only dental premiums ($395.72 annual value).
• Retirement Plan The State contributes the equivalent of 18.91% of the employees pay towards the Maine Public Employees Retirement System (MainePERS).
• Parental leaveis one of the most important benefits for any working parent. All employees who are welcoming a childincluding fathers and adoptive parentsreceivesix weeks of fully paid parental leave. Additional unpaid leave may also be available under theFamily and Medical Leave Act.

State employees are eligible for anextensive and highly competitive benefits package covering many aspects of wellness. Learn about additional wellness benefits for State employees from the Office of Employee Health and Wellness.

Note: Benefits may vary somewhat according to specific collective bargaining agreements and are prorated foranything less than full-time.

Theres a job and then theres purposeful transformative work. Our aim is to create a workplace where you can learn grow and continuously refine your skills. Applicants demonstrate job requirements in differing ways and we appreciate that many skills and backgrounds can make people successful in this role.

As an Equal Opportunity employer Maine State Government embraces a culture of respect and awareness. We are committed to creating a strong sense of belonging for all team members and our process ensures an inclusive environment to applicants of all backgrounds including diverse race color sex sexual orientation or gender identity physical or mental disability religion age ancestry national origin familial status or genetics.

If youre looking for a great next step and want to feel good about what you do wed love to hear from you. Please note reasonable accommodations are provided to qualified individuals with disabilities upon request.

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If you are unable to complete the online application please contact the Human Resources representative listed on the job opening you are interested in applying for. They will work with you for an alternative method of submitting.